JOHNNIE DOMINICA JOHNSON FNP
NPI 1043601057
Nurse Practitioner - Family in South Holland, IL
About Johnnie Dominica Johnson Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHNNIE DOMINICA JOHNSON FNP (NPI 1043601057) is an individual family provider in South Holland, Illinois, licensed in Illinois (277-001345) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, is affiliated with Advocate Trinity Hospital, and maintains a secondary practice location in Long Grove.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Johnnie Dominica Johnson Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Johnnie Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oak Lawn, IL 60453
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Advocate Health And Hospitals Corporation
- 4,870 clinicians in this Medicare group
Barrington, IL 60011
- Reassigned Medicare billing, Illinois enrollment
- 155 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Advocate Trinity Hospital
Acute Care Hospitals · Chicago, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60473 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH HOLLAND, IL 60473
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Johnnie Johnson's NPI number?
The NPI number for Johnnie Johnson is 1043601057. It was assigned to this individual provider in the NPPES registry on February 12, 2015. The provider is also known as Johnnie Dominica Johnson Fnp-Bc.
Where is Johnnie Johnson located?
Johnnie Johnson practices at 100 W 162nd St, South Holland, IL 60473. The listed phone number is (708) 730-2200.
What is Johnnie Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Johnnie Johnson enrolled in Medicare?
Yes. Johnnie Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Johnnie Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Johnnie Johnson reassigns Medicare benefits to 2 organizations: Advocate Health & Hospitals Corporation (Oak Lawn, IL) and Best Practices Inpatient Care, Ltd. (Barrington, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Johnnie Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Johnnie Johnson affiliated with any hospitals?
According to CMS data, Johnnie Johnson is affiliated with Advocate Trinity Hospital.
When was this NPI record last updated?
The NPPES record for Johnnie Johnson was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Johnnie Dominica Johnson, FNP · NPI 1043601057
Family physician in South Holland, Illinois. Individual provider, active in the CMS NPPES registry since February 12, 2015.
## Identity
- **NPI:** 1043601057 (Entity type: Individual)
- **Enumerated:** February 12, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 277-001345 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 W 162ND ST, South Holland, IL 60473-2003
- **Phone:** (708) 730-2200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Advocate Health & Hospitals Corporation (NPI 1912936014, Oak Lawn, IL); Best Practices Inpatient Care, Ltd. (NPI 1073549713, Barrington, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** March 11, 2025
- **Other identifiers:** Medicaid 277001345 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1043601057) · Data from the CMS NPPES public registry.